Green Country Medical, Inc.

NPI #1497978753 in Nowata, Oklahoma

Provider Information

NPI Number: 1497978753
Entity Type: Organization
Organization Name: Green Country Medical, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Apr 11, 2007
Last Updated: Jul 16, 2009

Practice Location

Address: 712 E OSAGE AVE
City: Nowata
State: Oklahoma
ZIP Code: 74048-3638
Phone: (918) 273-0140

Authorized Official

Name: LACEE HAYES
Title: BILLING
Phone: (918) 273-0140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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